The Opioid Crisis and Economic Distress: Consequences for Population Change

2021 ◽  
Author(s):  
Samuel Taylor ◽  
Heather M. Stephens ◽  
Daniel Grossman
Keyword(s):  
Population Change ◽  
Economic Distress ◽  
Opioid Crisis

The Opioid Crisis on Our Caseloads

ASHA Leader ◽  
2018 ◽  
Vol 23 (11) ◽  
pp. 42-49 ◽  
Author(s):  
Kerry Proctor-Williams
Keyword(s):  
Opioid Crisis

Naloxon – Medizinische Grundlagen und internationale Erfahrungen

2019 ◽  
Vol 65 (5) ◽  
pp. 335-342
Author(s):  
Norbert Wodarz ◽  
Jörg Wolstein ◽  
Heike Wodarz-von Essen ◽  
Oliver Pogarell
Keyword(s):  
Randomized Controlled Trial ◽  
Glasgow Coma Scale ◽  
Controlled Trial ◽  
Cochrane Library ◽  
Coma Scale ◽  
International Standard ◽  
Trial Number ◽  
Randomized Controlled ◽  
Opioid Crisis ◽  
Lebensrettende Basismaßnahmen

Zusammenfassung. Hintergrund: Die Abhängigkeit von Opioiden ist mit erheblichen gesundheitlichen Gefährdungen der Betroffenen und einer hohen Mortalität assoziiert. Derzeit werden insbesondere die dramatisch gestiegenen Mortalitätsraten in den USA diskutiert (‚opioid crisis‘), aber auch in Deutschland war in den letzten Jahren ein kontinuierlicher Anstieg der Drogentoten, überwiegend verursacht durch Opioide, zu verzeichnen. Die Risiken einer Opioid Überdosierung bzw. Intoxikation resultiert vor allem aus der hemmenden Wirkung der Opioide auf den Atemantrieb, die durch andere gleichzeitig konsumierte Substanzen noch verstärkt werden kann. Neben Erstmaßnahmen (Notruf, lebensrettende Basismaßnahmen der Ersten Hilfe) kommt auch der Einsatz des Opioidantagonisten Naloxon in Betracht. Methode: Literaturrecherche in PubMed, Cochrane Library und im International Standard Randomized Controlled Trial Number (ISRCTN) Register. Ergebnisse: Auch aus ethischen Gründen liegen bislang eher wenig systematische Untersuchungen zum nicht-ärztlichen Einsatz von Naloxon bei Opioidüberdosierung vor. Trotzdem kann nach aktuellem Stand geschlussfolgert werden, dass die intranasale Verabreichung vergleichbar wirksam mit einer intramuskulären Anwendung zu sein scheint. Bei Überdosierten, die nach erfolgreichem Naloxon-Einsatz aus unterschiedlichen Gründen nicht in einer Klinik gebracht wurden, wurden in ca. 1 %. Todesfälle dokumentiert. Falls 60 min nach Naloxongabe unauffällige Vitalparameter und auf der Glasgow Coma Scale mind. 15 Punkte erreicht werden, besteht wohl ein sehr niedriges Rebound-Risiko. Im Vergleich dazu ist das Auftreten von Naloxon-induzierten Entzugssyndromen deutlich häufiger, hängen jedoch von der Dosis und dem konsumierten Opioid ab, wie auch von der verabreichten Naloxon-Dosis. Schlussfolgerungen: Naloxon kann mittlerweile auch in Deutschland als zugelassenes Nasalspray verabreicht werden und ist daher im Prinzip auch für den Einsatz durch Ersthelfer geeignet. Verbesserte Rahmenbedingungen, wie z. B. spezifische Schulungen könnten dazu beitragen, Take-Home Naloxon als erfolgreichen Baustein zur Reduktion von Drogentod zu implementieren.

İstanbul İlçelerinin Nüfus Değişimi ve Kütük Bilgilerinin Analizi

2019 ◽  
Vol 6 (1) ◽  
pp. 37-72
Author(s):  
Ulaş Sunata ◽  
Dila Ergül
Keyword(s):  
Population Growth ◽  
Population Growth Rate ◽  
Population Change ◽  
Urban Migration ◽  
Specific Population ◽  
Related Factors ◽  
Internal Migrant ◽  
Level Analysis ◽  
Study District ◽  
Demographic Features

39 ilçesiyle Türkiye’nin en büyük nüfusuna sahip ili İstanbul aynı zamanda Türkiye’nin en çok iç göç alan şehridir. Özellikle kırdan kente göç bağlamında sosyo-ekonomik ve demografik özellikleriyle birçok araştırmaya konu olmuştur. Fakat İstanbul yerleşik nüfusunun Türkiye’nin diğer şehirlerine kayıtlı olma yoğunluğu da önemlidir. Bu çalışmanın amacı 2012 ve 2017 yıllarındaki nüfus değişimini göz önünde bulundurarak İstanbul ilçelerinin ayrıntılı nüfus yoğunluğu ve büyüme analizini yapmak, ilgili faktörleri değerlendirmek, hemşehri ağlarını okumak adına yerleşik nüfus kütük bilgileri bakımından inceleyerek elde edilen örüntüler doğrultusunda ilçe tipolojileri oluşturmaktır. Çalışmanın birinci bölümünde ilgili beş yıllık nüfus değişimlerine göre İstanbul ilçe nüfusları analiz edilmiştir. Ardından her bir ilçe için nüfusa kayıtlı olunan kente göre nüfus büyüme hızlarına bakılarak ilçelerin ağırlıklı olarak barındırdığı hemşehri ağları belirlenmiştir. İkinci bölümde ise ilçeler nüfus değişim özelliklerine göre belirli kategorilere ayrılmış ve bu kategoriler doğrultusunda ilçe tipolojileri oluşturulmuştur..ABSTRACT IN ENGLISHA District Level Analysis of Istanbul’s Population Change (2012-2017)Istanbul having the largest population of Turkey with its 39 districts is the most internal-migrant-receiving city in Turkey. Particularly in the context of rural-to-urban migration, Istanbul has been became a subject of various researches with its socio-economic and demographic features. However, the density of Istanbul’s settled population who registered other cities of Turkey is important. The main aim of this study is to analyse population growth of all districts considering the population change between 2012 and 2017, to evaluate the related factors and to develop a district typology by using the data of settled population according to their family registration in the name of reading the current countryman networks. In the first section of the study, district populations of Istanbul are examined regarding the related five-year change. Afterwards, most repeated countryman networks of all Istanbul’s districts are specified regarding the population growth rate of the registered cities. In the latter section of the study, districts were divided into categories regarding the specific population change features which help to create district typology.

Population Change, Modernization and Welfare. By Joseph Spengler. Prentice-Hall Inc., Englewood Cliffs, N.J. 1974.

1977 ◽  
Vol 16 (2) ◽  
pp. 220-222
Author(s):  
Zeba A. Sathar
Keyword(s):  
Population Growth ◽  
Population Change ◽  
Population Control ◽  
Stable Condition ◽  
Developed Countries ◽  
Wide Field ◽  
Wide Scale ◽  
Socio Economic Variables ◽  
Almost All

The book covers a wide field, touching on almost all aspects of popula¬tion change on a world-wide scale. It discusses, using world and country data, the relationships between demographic and socio-economic variables, and elaborates on" their relative importance in the determination of population problems which confront the world as a whole and nations individually. Policies designed to alleviate these problems are discussed with an emphasis on those related to population control. The first chapter is entitled "Population Growth: Past and Prospective" and reviews the various parameters associated with population change in the past and in the future. It touches upon the concept of a stable population in order to show the elements which cause a population to change (i.e. remove it from its stable condition). The main elements of change, population growth, migration, mortality and natality are discussed individually. The chapter is concluded by a description of the main differences in these elements and other socio-economic conditions as they exist in the less-developed and developed countries.

Population Change of Myeloid and Lymphoid Cells Contributes to the Blood-Based Protein Biomarkers

2018 ◽  
Author(s):  
Shaohong Chen ◽  
Feng Gao ◽  
Guini Hong ◽  
Hongdong Li ◽  
Qingzhou Guan ◽  
...  
Keyword(s):  
Population Change ◽  
Lymphoid Cells ◽  
Protein Biomarkers
Sign in / Sign up

Export Citation Format

Share Document